Jeffrey Pan

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1857230 Issued in MA

Practice address

985 Main St
Melrose, MA 02176-1913

Phone

(781) 665-5190

NPI assigned

Jul 7, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nelson Pan DDS Debra Hong Pan DMD Ms LLC

  • General Practice Dentistry
  • Melrose, MA
  • NPI 1508943572
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1013369693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021761913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021761913",
            "telephone_number": "781-665-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oosterman'S Melrose Rest Home Inc.
• Lindsay Ibeth Ortega, PHLEBOTOMIST
• Orthodontics of Melrose
• Stephanie Rose Overholt, P.T.
• Jason Liddell Pan, DMD
• Katelyn Pan, DMD
• Nelson Pan, D.D.S.
• Cameron Paul Parent
• Patricia Ellen Parker, RN
• Dylan Michael Parks, DC

• General Practice Dentistry in Melrose, MA
• Providers in Melrose, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.